CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $697
Cash Discount Price: $631
vs. Medicare Baseline: 2.86x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Oklahoma Heart Hospital South, LLC is $697. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $631. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.86x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.

Cash / Self-Pay

$631

Average discount available for prompt cash payment at this facility.

Insurance Median

$697

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $631 (259%)

Insurance Median: $697 (286%)

Cash: $631 (259% of Medicare)

Ins. Median: $697 (286% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 286% of the Medicare baseline (a markup of 186%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$115 - $229	47%
Humana	$115 - $1,243	47%
Coventry	$215	88%
Blue Cross Blue Shield	$229 - $697	94%
Cigna	$229 - $637	94%
Medicare (plans)	$229 - $236	94%
UnitedHealthcare	$229 - $244	94%
Va Ccn	$229	94%
Geha	$244	100%
Ambetter / Centene	$321	132%
Healthcare Highways	$450 - $1,081	185%
Community Care	$459 - $1,261	188%
The Kempton Group	$574	235%
Healthscope	$829	340%
Oscar Insurance Company	$829	340%
Webtpa Chickasaw Nation Hch	$847	347%
Webtpa Hobby Lobby Hch	$955	392%
Global Health	$1,135	466%
Sana Benefits	$1,171	480%
Ufcw	$1,171	480%
First Health Network	$1,243	510%
Manhattan Life	$1,243	510%
Phcs	$1,261	517%
Preferred Community Choice	$1,370	562%
Multiplan	$1,622	665%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $631.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73721.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Oklahoma Heart Hospital South, LLC is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73721.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.